Kelseanne Breder

Faculty

Kelseanne Breder Headshot

Kelseanne Breder

PhD PMHNP-BC

Clinical Assistant Professor

1 212 992 5751

433 FIRST AVENUE
NEW YORK, NY 10010
United States

Kelseanne Breder's additional information

A researcher, clinician, and educator, Kelsea Breder is passionate about understanding what makes human encounters immersive and therapeutic, especially in a competitive attention economy. Prof. Breder’s research and clinical work have focused on social presence, trust, and support in digital and in-person encounters across diverse social, educational, and clinical settings.

Breder’s work is currently funded by the GACA, a 4-year career award from HRSA to address older adults’ mental wellness in an aging society where older adult psychosocial development is influenced by omnipresent tech media and growing socioeconomic inequality. Using qualitative methods, Breder’s research has explored LGBT older adults’ maintenance of social support networks and chosen families across digital interfaces. Breder's work has also focused on low-income older adults’ experiences using telehealth to have sensitive conversations about illness. She has partnered with Center for Urban Community Services to explore factors associated with aging-in-place for older adults with lived experience of homelessness through secondary data analyses and workforce education.

Breder is currently a training candidate in psychoanalysis at New York Psychoanalytic Society & Institute. This training informs her thinking about social presence in psychoanalytic contexts where the therapist’s attention is maximized but social elements are muted to create a therapeutic container where patients can develop trust and experience immersive healing.

As an educator, Breder uses film, theater, music, and history as frameworks to make subjective processes, like psychotherapy, more concrete and tangible to learners and future psychotherapeutic practitioners. Breder has taught graduate psychotherapy and case supervision, as well as undergraduate geriatrics, psychiatry, community health, and pharmacology courses. 

PhD in Nursing Informatics for Health Disparities, Columbia University
MSN, Columbia University
BS, Columbia University
BS, BA, University of Florida

Global
Community/population health
Mental health

American Association for Geriatric Psychiatry
American Medical Informatics Association
American Nurses Association
American Psychiatric Nurses Association
American Psychological Association
Eastern Nursing Research Society
Sigma Theta Tau, Alpha Zeta Chapter
Sigma Theta Tau Honors Society, (Alpha Zeta Chapter)

Faculty Honors Awards

NYU Teaching Advancement Grant Awardee (2022)
Jonas Nursing Scholar (2020)
Sigma Theta Tau Alpha Zeta Chapter Research Grant Awardee (2020)
NIH T32 Predoctoral Trainee, Reducing Health Disparities through Nursing Informatics (2017-2020)
HRSA Geriatric Academic Career Awardee (2023 - 2027)

Publications

Assessing Older Adults Who Have Experienced Homelessness : Findings from an Exploratory Study

Breder, K., Jacob, C., & Yu, V. (2025). 10.1177/07334648251333845
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We report results of a workforce initiative to increase functional screenings for older adults with lived experiences of homelessness. Thirty-four healthcare practitioners screened 253 patients ages 50 years + using a battery of screening tools aligned with the 4 Ms. Using secondary analyses, we describe practitioners’ participation in the workforce initiative, patients’ functional scores, and a qualitative analysis of “what matters” to patients. Many practitioners did not complete all screenings. Among patient respondents, 6% reported moderate to severe ADL impairment; 24% scored positive cognitive impairment; 32% reported being unable to walk 250 feet; 46% reported moderate to severe pain. Resilience strategies developed during homelessness “matter.” Few participants reported impaired ADL performance, which may reflect levels of independence needed to survive homelessness or to maintain services while homelessness. Findings suggest a need for additional workforce training to increase functional screenings for older adults in this population.

Finding Meaning in Life - a Qualitative Report of Low-income Older Adults in Assisted Living

Morgan, B., Breder, K., & David, D. (2025).
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Telehealth for Serious Illness Conversation - a Qualitative Report of Low-Income Older Adults in Assisted Living

Breder, K., David, D., & Jacob, C. (2025).
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Assessing Older Adults Who Have Experienced Homelessness: Findings from an Exploratory Study

Breder, K., Jacbo, C., & Yu, V. (2024).
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Objectives: Today’s homeless population is aging, yet community practitioners are not well-equipped to meet the needs of older adults with lived experiences with homelessness. The purpose of this paper is to present and assess an innovation in which community-based practitioners were asked to conduct geriatric assessments with homeless or formerly homeless patients in New York City for the purpose of initiating age-friendly care in community settings.   Research Design & Methods: Between May 2022 and August 2023, 62 community-based psychiatric and primary practitioners employed by an on-site social services agency were asked to screen patients aged 65 and older at routine medial visits using assessments that measure mobility, pain, activities of daily living, and cognition. Assessment data was recorded in an electronic health record. All assessments were conducted in the patient’s on-site residence in one of the following settings: state-subsidized supportive housing sites, transitional supportive housing sites, or on urban streets.   Results: 30 out of 62 (48%) providers conducted geriatric functional assessments during the first 15 months of the intervention.   Discussion and Implications: Our findings indicate that fewer than half community-based psychiatric and primary care practitioners were willing to assess geriatric functioning in community-dwelling homeless and formerly homeless older adults. Community-based practitioners must adopt a versatile, cross-specialty skillset to ensure that aging patients with lived experiences with homeless receive age-friendly care. We discuss reasons why some practitioners did not conduct geriatric assessments and outline strategies for supporting these practitioners in adopting age-friendly practices in community settings.  

The Convoy Model of Social Relations: An Opportunity to Understand Post-pandemic LGBT Chosen Family Dynamics

Breder, K. (2024).
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A Cross-specialty Innovation to Provide Age-friendly Care to Homeless and Formerly Homeless Adults in Community Settings.

Breder, K. (2024).
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Developing a Global Health Nursing Educational Initiative: An internatinal nursing collaboration for undergraduate students.

Breder, K., Kurz, R., & Birdsall, S. B. (2024).
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Exploring the Relationship Between Gender-Affirming Care Delivery and Health Outcomes in Transgender and Gender-Diverse Adults : An Integrative Review

Dutton, H. J., Breder, K., & Ma, C. (2024). 10.1089/trgh.2023.0087
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Transgender and gender-diverse (TGD) adults experience significant health disparities compared with their cisgender peers. Stigma functions as a fundamental cause of health disparity in TGD communities. Stigma can be tempered by gender-affirming care (GAC), in which TGD adults receive care that validates their gender identity. There is little evidence focusing on outcomes associated with integrated GAC as an approach to care delivery. This integrative review explores the extant evidence on the relationship between integrated GAC and health outcomes in TGD adults in the United States. A comprehensive search of 4 electronic databases was conducted in May 2022. Included studies were peer reviewed, conducted in the United States from 2013 to the present, and described integrated GAC delivery for TGD adults aged 18 and older. After screening 3328 records and reviewing 135 full-text articles, 15 articles were included in this review. Articles were critically appraised, and data extraction and analysis using constant comparison were used to identify themes and relationships across studies. Synthesis suggested that GAC relates to three distinct areas of TGD adult health: physical health, mental health, and health services outcomes. GAC was associated with better overall health and improvements in HIV-related outcomes; significant decreases in mental health symptoms and suicidality; and increases in utilization, engagement, and care retention. There is moderate evidence that GAC delivery is associated with positive health outcomes for TGD adults. This integrative review provides empirical and theoretical support for integrated GAC delivery as an approach to improve health and address stigma-related barriers to care.

Faculty Supporting Faculty: Stories from a Peer Review of Teaching Pilot

Breder, K., Dorritie, R., & Rodriguez, K. G. (2024).
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Teaching observations often feel fraught and high stakes, but what if they were conducted in a spirit of mutual benefit and directed by the instructor being observed? In this TeachTalk, faculty from Rory Meyers College of Nursing will discuss their experience collaborating with NYU’s Learning Experience Design team on a peer review of teaching pilot. They will share how the process benefited their teaching, as well as tips for how to observe colleagues in a way that empowers observer and observee alike.   Kelseanne Breder (Clinical Assistant Professor, Rory Meyers College of Nursing), Richard Dorritie (Clinical Assistant Professor, Rory Meyers College of Nursing), and Karla Rodriguez (Clinical Assistant Professor, Rory Meyers College of Nursing

Geriatric Assessment Scores in a Population-based Sample of Homeless Older Adults.

Breder, K. (2024).
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Media